ABSTRACT
Objectives: The aim of this study was to investigate the differences in the prevalence of metabolic syndrome (MetS) according
to the Sasang constitution (SC) and cold and heat pattern identification (CHPI).
Methods: SC, CHPI, MetS, and component data were obtained from 2,561 participants in 26 Korean medical clinics from
2007 to 2013. SC, diagnosed by Korean medicine doctors, was confirmed by positive responses to herbal medicines administered
according to that constitution. The CHPI was verified by a questionnaire about thermal sensitivity and drinking habits. The
diagnosis criteria for MetS were: 1) waist circumference (WC) ≥90 cm (male) and ≥80 cm (female); 2) triglycerides ≥150
mg/dL; 3) high density lipoprotein cholesterol (HDL) <40 mg/dL (male) and <50 mg/dL (female); 4) blood pressure ≧130/85
mmHg; and 5) fasting blood glucose ≥100 mg/dL. Odds ratios (ORs) and differences in MetS and its components were compared
using logistic regression and ANCOVA.
Results: The MetS prevalence rates were 54.1%, 22.0%, and 33.3% for Taeeumin (TE), Soeumin (SE), and Soyangin (SY),
respectively, and 30.5% and 44.5% for the cold and heat patterns, respectively. ANCOVA for MetS components showed
significantly higher WC in TE than in SE or SY, and all components except HDL were higher in the heat pattern group than
in the cold pattern group. Logistic regression for MetS prevalence showed a significant association between TE and the heat
pattern group (OR=1.653) but not for non-TE and the cold pattern group.
Conclusions: Considering SC and CHPI together may be more effective in managing MetS than considering SC alone. |
